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<br />J CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .ay be subject to "deed restrictions" wbicb lay be lOre restrictive tban City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOH RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake work, they laY be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor aay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requir8lents lay apply (or the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
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<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of tbe
<br />"Contractor Sections" of this application for whicb they will be responsible. If you, as the ONDer sign as the contractor,
<br />you are indicating tbat you, rather than the contractor, are responsible for the work. If tbe contractor wisbes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in tbe
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUC'l'ION LIEN LnW (ClrnPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien tal _ HOIBOIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConSUler Affairs. If tbe applicant is sOleone otber tban the
<br />"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faitb to deliver it to tbe
<br />"owner" prior to couenCelent.
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<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'f
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />I
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
<br />installation has COllenced prior to issuance of a perlit and that all work will be perforaed to l8et standards or all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify tbat I understand that the regulations of other governaental agencies aay apply to tbe intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />· Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />. Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Deparllent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tants
<br />· US EnviroDlental Protection Agency - Asbestos abat8lent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.., it is understood ,that a drainage plan
<br />addressing a "cOlpensating volUle. will be sub.itted which is prepared by a professional engineer registered in tbe State of
<br />Florida prior to perlit. issuance.
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<br />. A perlit issued shall be construed to be a license to proceed with tbe work and not as autbority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall is~u~nce of a perlit prevent the Building Official {rOl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery per.it issued shall beoole invalid
<br />unless the work authoriled by such perlit is cOllenced within six IOnths of issuance, or if work autboriled by the perlit is
<br />suspended or abandoned for a period of six IOnths after the til8 the worl is cOllenced. One 90 day eatension of tile, l8y be
<br />allowed for the perlit with fee charge of $15.00. Tbe extension shall be requested in writing to tbe Building Official. An
<br />approved inspection lust be logged during each six IOntb period, or' tbe project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICB OF COHHBNCBJlBlff KAY RESULT III YOUR PAYIIIG filCH FOR IHPROVIIIBBrS TO YOUR
<br />PROPBRTY. IF YOU INTEND TO OBTAIN FIIIANCING, CONSULT WIrH YOUR LINDBR OR AN ATTORlIY BEFORE RECORDIMG YOUR MO'IICH OF
<br />COHMENCIHINT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMKNCIHBNT".
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<br />SIGNArURI: OWNER ~ .
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<br />SIGNATURE: HACTOD
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<br />STATB OF FLORIDA
<br />COUM'fY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUIITY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19 by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who bas
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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